Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
BMC Pregnancy Childbirth. 2019 Dec 4;19(1):465. doi: 10.1186/s12884-019-2606-y.
Assessing women's childbirth experiences is a crucial indicator in maternity services because negative childbirth experiences are associated with maternal mortalities and morbidities. Due to the high caesarean birth rate in Iran, measuring childbirth experience is a top priority, however, there is no standard tool to measure this key indicator in Iran. The aim of present study is to adapt the "Childbirth Experience Questionnaire 2.0" to the Iranian context and determine its psychometric characteristics.
Childbirth Experience Questionnaire 2.0 was translated into Farsi. A total of 500 primiparous women, at 4 to 16 weeks postpartum, were randomly selected from 54 healthcare centres in Tabriz. Internal consistency and reliability was calculated using the Cronbach's Coefficient alpha and Intraclass Correlation Coefficient, respectively. Construct validity was assessed using exploratory and confirmatory factor analysis and discriminant validity using the known-group method and the Mann-Whitney U-test.
The internal consistency and reliability for the total tool were high (Cronbach's alpha = 0.93; Intraclass Correlation Coefficient = 0.97). Explanatory factor analysis demonstrated the adequacy of the sampling (Kaiser-Meyer-Olkin = 0.923) and significant factorable sphericity (p < 0.001). Confirmation factor analysis demonstrated acceptable values of fitness (RMSEA = 0.07, SRMSEA = 0.06, TLI = 0.97, CFI > 0.91, x / df = 4.23). Discriminatory validity of the tool was confirmed where the CEQ score and its subdomains were significantly higher in women who reported having control over their childbirth than women who did not.
The Farsi version of the Childbirth Experience Questionnaire 2.0 tool is a valid and reliable tool and can be used to measure the childbirth experience in Iranian women.
评估女性的分娩体验是产妇服务中的一个关键指标，因为负面的分娩体验与产妇的死亡率和发病率有关。由于伊朗的剖宫产率较高，衡量分娩体验是当务之急，然而，伊朗没有衡量这一关键指标的标准工具。本研究旨在将“分娩体验问卷 2.0”适应当地情况，并确定其心理测量学特征。
将“分娩体验问卷 2.0”翻译为波斯语。从大不里士的 54 个医疗中心随机抽取了 500 名初产妇，产后 4 至 16 周。使用 Cronbach's Coefficient alpha 和 Intraclass Correlation Coefficient 分别计算内部一致性和可靠性。使用探索性和验证性因子分析评估结构有效性，使用已知组法和 Mann-Whitney U 检验评估判别有效性。
该工具的总内部一致性和可靠性较高（Cronbach's alpha = 0.93；Intraclass Correlation Coefficient = 0.97）。解释性因子分析表明抽样充分（Kaiser-Meyer-Olkin = 0.923），且显著可因子化（p < 0.001）。验证性因子分析显示拟合度的可接受值（RMSEA = 0.07，SRMSEA = 0.06，TLI = 0.97，CFI > 0.91，x / df = 4.23）。该工具的判别有效性得到了证实，即报告对分娩有控制感的女性的 CEQ 评分及其子域明显高于没有控制感的女性。
波斯语版的“分娩体验问卷 2.0”工具是一种有效且可靠的工具，可用于衡量伊朗女性的分娩体验。
